PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
THIS IS AN ONGOING ACTIVITY FROM FY 2008. THIS ACTIVITY NARRATIVE HAS BEEN
SIGNIFICANTLY REVISED TO REFLECT TO WORK COMPLETED IN FY 2008 AND PLANNED
ACTIVITIES IN FY 2009. ACCOMPLISHMENTS WILL BE REPORTED IN THE FY 2008 APR.
TITLE: Building a National HIV Facility-based Reporting System
NEED and COMPARATIVE ADVANTAGE: Tanzania is currently supporting HIV care and treatment
services at 200 district health facilities and will soon be expanding these services to 500 health centers and
dispensaries throughout the country. Assuring the regular and efficient flow of aggregate indicators data
from facilities to the district and central levels is a major challenge, not only for ART but for all facility-based
HIV services (PMTCT, VCT, lab, blood safety). Due to poor Internet coverage at the peripheral level,
facilities are often required to transport their electronic data by road, a process that is both costly and time-
consuming. The Phones for Health partnership brings together the mobile phone industry, technology
companies, handheld providers and the world's largest HIV/AIDS donor to help countries maximize their
existing mobile phone infrastructure to improve the flow of HIV/AIDS data to and from facilities while
building the foundation for functional, scalable and sustainable health management information systems.
For the National Blood Transfusion Service, comprehensive safe blood services depend on availability of a
blood donor pool of safe donors. In order to maintain this pool an interactive method of communicating with
recruited donors and other possible donors is needed. Mobile phones offer this opportunity of regular
communication with already recruited donors and other potential ones. Phones for health SMS initiative
offers the National blood transfusion program the means of regularly communicating with their donors and
recruiting the new ones. With FY 07 and FY08 funds an estimated 150,000 massages are to be sent to
donors with mobile phones in Eastern zone. As the program expands more blood donors will be reached in
other zones enabling NBTS to build its donor pool for efficient safe blood supply and be able to
communicate with donors in emergences.
ACCOMPLISHMENTS: P4H has accomplished the following:
1) Developed and finalized a Terms of Reference between CDC-Tanzania and the Ministry of Health and
Social Welfare detailing project priorities, cost, software-as-services model and governance model.
2) Collected user requirements for Phase-One priority areas: NBTS Blood Donor Messaging System and
IDSR Case Notification & Weekly Reports.
3) Conducted infrastructure & services assessment; Conducted rapid assessments in Phase-One regions;
Delivered demo (prototype) systems for Phase-One priority areas and delivered the final Phase-One user
requirements documents to Voxiva technical team.
4) As part of multi-country support, the Phones for-Health replication toolkit was developed to support
implementation in additional countries.
ACTIVITIES: In FY 2009, Tanzania will continue to strengthen national HIV/AIDS strategic information
capacity through participation in the Phones for Health public-private partnership. Phones for Health will
leverage Tanzania's existing telecommunications infrastructure to allow workers at health facilities to
transmit monthly reports by phone or Internet. Once in the system, data will be viewable by authorized
managers at the district, regional and national levels, as well as to implementing partners, via user-
customizable data dashboards and a series of standard reports.
Activities in FY 2009 will also focus on maintaining the existing components of the system: ART monthly
and quarterly reporting, Blood Safety, and Integrated Disease Surveillance and Response, and expanding
system use through active user support.
Overall system activities in FY 2009 will include: Setting up central infrastructure, short code, gateways and
telecom billing structures; Collecting ART user requirements and developing the reporting prototype and
delivering the system for both ART and NBTS Blood Donor Messaging system; Developing training
curricula and job aids to support introduction of system; Training system administrator(s) in data mining,
administrative parameters and basic form configuration via User Interface; Training national, regional, and
district-level trainers and users in 2 regions for IDSR and ART modules.
In the area of ART, Phones for Health will continue to support the operation and use of the monthly and
quarterly reporting module that was developed in FY 2008. The country team will provide ongoing technical
assistance and support to trainers and master users, including the National AIDS Control Programme staff,
Regional AIDS Control Coordinators (RACCs), and USG treatment partner staff. Specific activities will
include 1) instituting and enforcing standard operating procedures for reporting and resolution of technical
issues, 2) inviting regular input from a representative group of "power users," and 3) strengthening capacity
and appreciation for data analysis and use through a combination of customized feedback and semi-annual
data for decision-making seminars/forums.
Phones for Health data for decision-making forums will bring together key HIV/AIDS stakeholders in
Tanzania to review and discuss ART program data with a view to strengthening the demand for good data,
building a critical mass of data use "champions" within the Ministry of Health and Social Welfare, and
identifying ways that the existing national reporting system can be modified to better support the Ministry's
programmatic goals.
In addition, Phones for Health will work with USG treatment partners to expand system coverage to two
additional regions in FY 2009 using a training-of-trainers approach. The Phones for Health country team will
train USG treatment partners and RACCs in the target regions, and these trainers will be responsible for
training DACCs and CTC reporting officers in the use of the ART reporting module. Phones for Health will
also replicate and distribute technology-enhanced, role-based training materials (including participant
manuals, facilitation guides, and job aids) to target users in the new regions.
Activities for NBTS in FY 2009 will focus on scaling up and expanding the scope of the existing components
of the system in the area of blood safety. Phones for Health will add bi-directional messaging functionality to
the National Blood Transfusion Centre's Blood Donor Messaging System. The introduction of bi-directional
Activity Narrative: messaging between potential and existing blood donors and the Phones for Health database will open the
door to new recruitment and retention approaches. Any individual with access to a cell phone will be able to
self-register as a blood donor via SMS and take advantage of other Health services, such as self-
administered risk assessments or blood donation FAQs.
The system will also be expanded to a second zone (to be determined based on technological readiness),
bringing the total number of blood donors covered to approximately 150,000 (assuming 50% of blood
donors have cell phones). Program evaluation activities - including automated data collection and
supplemental blood donor surveys - will also continue. Twelve-month program results will be measured and
compared to baseline data and data collected six months after program initiation.
LINKAGES: The Phones for Health partnership will continue to link with the Ministry of Health, who provide
oversight for this activity as well as NACP and NBTS, as the system is expanded.
Phones for Health activities will closely link with PDA and the web-based system for Blood to identify safe
donors, and temporary and permanent deferrals.
M&E: The Phones for Health team will adapt its role-based training curriculum to the logistical and linguistic
needs of Tanzania. All users, including MOHSW, NACP and TACAIDS, and health care workers, will
receive training in modes of data entry and transmission, data retrieval and display options (including
customization of reports and data dashboards), feedback and alert mechanisms, and security features. The
Blood activities will be monitored throughout the implementation of the program for expected outcome and
impact to blood donor management system.
The team will also self-monitor and report on its activities to USG and GoT for continual updates and
program implementation flow.
SUSTAINAIBLITY: Sustainable staffing and local capacity building (both human and institutional) are
critical to the success of Phones for Health in Tanzania. Phones for Health will support a full-time technical
advisor (aka system implementation lead) and training coordinator to transfer critical knowledge and skills to
the local management unit, which will be located within the HMIS division of the Ministry of Health.
With oversight of the system by the Ministry of Health/ HMIS Unit, the partnership will continue to transfer
knowledge on system use and coordination of activities to ensure the system meets the needs of the
government and has utility at all levels of government.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16512
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16512 16512.08 HHS/Centers for Voxiva 8553 8553.08 P4H $200,000
Disease Control &
Prevention
Program Budget Code: 05 - HMIN Biomedical Prevention: Injection Safety
Total Planned Funding for Program Budget Code: $2,222,883
Total Planned Funding for Program Budget Code: $0
Table 3.3.05:
Continuing Activity: 18647
18647 18647.08 HHS/Centers for Voxiva 8553 8553.08 P4H $200,000
Table 3.3.09:
At a cost of $50,000 dollars, funded through CDC on behalf of DoD, the USG PEPFAR staff will work in
collaboration with the Tanzania People's Defense Force (TPDF) to develop culturally appropriate, relevant
HIV prevention text messages building upon existing prevention platforms and programs. These text
messages will be sent to remotely-stationed military on a regular schedule (e.g., every Friday afternoon).
The text messages will focus on increasing HIV/AIDS knowledge and prevention. This will be a one-way
communication and no data would be recorded on individual service members. Rather the pilot will track
how many text messages were disseminated.
At least 200 service members will receive weekly prevention messages by SMS during the pilot phase,
though this number may be increased if preliminary results from the pilot are positive. Voxiva and other
consortium members will work with DoD and the TPDF to configure a web- and SMS-based system for
prevention messaging to the military and to set this system up on the existing P4H infrastructure in
Tanzania. The system will be launched - and the first prevention message delivered to target service
members -- within 10 weeks of receipt of funding.
Through funding under separate entry, DoD and PharmAccess International (PAI) will work with the TPDF
to conduct pre and post-pilot surveys to evaluate the acceptability of the service and its messages as well
as any impact on knowledge among the 200 targeted members in the pilot project. The results of this
evaluation will be used to determine future expansion of this program, to include improvements to the
approach, strengthening of messages and possible incorporation of messages regarding other HIV services
available.
oversight for this activity as well as NACP and NBTS, as the system is expanded. New collaborations will
begin with TPDF and PAI.
Continuing Activity: 13411
13411 8221.08 HHS/Centers for Voxiva 8553 8553.08 P4H $550,000
8221 8221.07 HHS/Centers for US Centers for 4950 4950.07 $389
Disease Control & Disease Control
Prevention and Prevention
Table 3.3.17:
